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- Communication Improvement 6
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Search results for "Book/Report"
Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2019. AHRQ Publication No. 19-0033.
The Agency for Healthcare Research and Quality conducts safety culture surveys in a wide variety of clinical settings and makes the results publicly available on a regular basis. This report contains responses to the Community Pharmacy Survey on Patient Safety Culture from 331 participating pharmacies, most of which were chain drugstores or pharmacies within integrated health systems. The areas of strength were similar to the 2015 report, with most community pharmacies scoring well for patient counseling and openness of communication regarding unsafe situations. Inadequate staffing and production pressures were the commonly identified barriers to safety. A PSNet perspective explored safety issues in the community pharmacy setting in detail.
Horsham, PA: Institute for Safe Medication Practices; 2016.
This updated report describes best practices to ensure safety when preparing sterile compounds, including pharmacist verification of orders entered into computerized provider order entry systems. The guidelines emphasize the role of technologies such as barcoding and robotic image recognition as approaches to enhance safety.
Tully MP, Franklin BD, eds. Boca Raton, FL: CRC Press, Taylor and Francis Group; 2016. ISBN: 9781482227000.
Famolaro T, Yount N, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2015. AHRQ Publication No. 15-0041-EF.
This survey expands AHRQ's patient safety culture work to the community pharmacy setting. Approximately 1600 pharmacy staff from 255 community pharmacies voluntarily completed the survey between 2013 and 2014. The database is meant to allow for comparison and benchmarking of safety cultures across pharmacies. However, the current response rate represents less than 1% of total community pharmacies in the United States, and more than half of respondents were chain drugstores or integrated health systems. Most community pharmacies scored well for patient counseling and communication openness, while staffing, work pressure, and pace represented the biggest areas for potential improvement. A prior AHRQ WebM&M interview with J. Bryan Sexton explored the relationship between culture and patient safety.
Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Health Care Reform; July 2014. NIHCR Research Brief No. 17.
According to this report, many vendors are still working to add and implement enhanced functions for electronic health records to support medication reconciliation capabilities. Health care workers are instead employing hybrid paper-electronic processes to ensure patients' medication lists remain accurate throughout their hospital stay.
Larson CM, Saine D, eds. Bethesda, MD: American Society of Health-System Pharmacists; 2013. ISBN: 9781585282104.
This book provides information about medication errors and quality improvement to guide clinicians involved in medication safety work. Roles and responsibilities of medication safety officers range from change management to error prevention and analysis. The publication also includes checklists and other tools to enhance medication safety.
1000 Lives Plus. Cardiff, Wales: National Health Services Wales; 2012.
Building on a multidisciplinary improvement model, this guide provides techniques to help pharmacists improve medication safety through system and process redesign.
London, UK: All-Party Pharmacy Group; May 2012.
This report discusses the impact of drug shortages in the United Kingdom and describes potential solutions.
Oakbrook Terrace, IL: Joint Commission Resources and the American Society of Health-System Pharmacists; 2009. ISBN: 9781599403090.
This book provides background on the medication reconciliation process and tips for its application, along with sample forms, checklists, and case studies.
Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease.
Cambridge, MA: New England Healthcare Institute; August 12, 2009.
Medmarx Data Report: A Chartbook of Medication Error Findings from the Perioperative Settings from 1998-2005.
Rockville, MD: United States Pharmacopeia; 2007.
This report shares findings from analysis of more than 11,000 perioperative medication errors reported through Medmarx and includes recommendations to avoid these types of errors.
The Medication Errors Panel. Sacramento, CA: California State Senate; March 2007.
This report shares findings from an expert panel convened to study the causes of medication error in the outpatient setting and provide recommendations for reducing errors associated with prescription and over-the-counter medications.
VA Health Care: Steps Taken to Improve Practitioner Screening, but Facility Compliance with Screening Requirements is Poor.
Washington, DC: United States Government Accountability Office; May 2006. Publication GAO-06-544.
This investigation determined that the U.S. Veterans Administration has taken steps to improve the reliability of their practitioner licensure and certification screening processes for employees and new hires but found that some weaknesses still exist.
Sarasohn-Kahn J, Holt M. Oakland, CA: California Healthcare Foundation; 2006. ISBN: 1933795026.
This report outlines the prescription process and the potential improvements in cost, efficiency, compliance, and safety that could be gained through implementation of e-prescribing.
Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety.
Casey MM, Moscovice I, Davidson G. Upper Midwest Rural Health Research Center; December 2005.
The authors report the findings of a national study of small, rural hospitals in the United States. Results indicate a relationship between accreditation by the Joint Commission on Accreditation of Healthcare Organizations, financial status, pharmacy staffing, and technology use with the implementation of medication safety practices.
Deming WE. Cambridge, MA: The MIT Press; 2000.
Deming believes that American companies need to transform their method of management to engage and compete successfully. In Out of the Crisis, originally published in 1986, Deming presents his classic theory based on his 14 Points for Management. Deming provides a distinct emphasis on the role of leadership to generate the change required for American business to remain vital. His thoughts on how to change management thinking in order to achieve success have been applied to the health care quality movement.
Garvin DA. Boston, MA: Harvard Business School Press; 2000.